[27F] With extreme abdominal pain and urinary changes

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Kidney Infection (Pyelonephritis): This is a type of urinary tract infection (UTI) that has reached the kidneys. Symptoms often include sharp or dull pain in the back or side, fever, chills, and changes in urine such as cloudiness and a strong odor.

  • Treatment: Typically involves antibiotics, which you are already taking (metronidazole and cefdinir). However, it's crucial to consult a healthcare provider to ensure these are the appropriate medications and to monitor your condition.

• Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain, usually on one side of the abdomen, and may be accompanied by changes in urine, such as cloudiness or a strong odor.

  • Treatment: Depending on the size and type of the stone, treatment can range from increased fluid intake to medications or even surgical procedures.

• Urinary Tract Infection (UTI): A lower UTI can cause symptoms like pain in the lower abdomen, changes in urine, and sometimes fever and chills.

  • Treatment: Antibiotics are the standard treatment, and you should consult a healthcare provider to ensure you are on the correct medication.

• Appendicitis: Inflammation of the appendix can cause severe pain in the lower right abdomen, which can start as a dull pain and become sharp. It is often accompanied by fever and sometimes changes in bowel movements.

  • Treatment: This is a medical emergency that usually requires surgical removal of the appendix.

What you can do

While you should definitely consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
2. Pain Management: Over-the-counter pain relievers like ibuprofen can help manage the pain, but consult your healthcare provider before taking any new medication.
3. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, urine, or bowel movements. Use the MDandMe journal to log these details, which can be helpful for your healthcare provider.
4. Rest: Ensure you get plenty of rest to help your body fight off any potential infection.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe or worsening pain: Especially if it becomes unbearable or spreads.
• High fever: A temperature over 100.4°F that doesn't go down with medication.
• Blood in urine: This could indicate a more serious condition like kidney stones or a severe infection.
• Inability to pass urine: This could be a sign of a blockage or severe infection.
• Severe nausea or vomiting: Especially if it prevents you from keeping down fluids.

Remember, while I can provide information and suggestions, it's essential to consult a healthcare provider for a formal diagnosis and appropriate treatment.